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The nursing care plan is for 18-year-old Rechelle Rivera, who is experiencing acute pain after a cesarean birth. The plan includes the nursing diagnosis of acute pain related to surgical incision, with goals of alleviating the patient's pain within 1 hour. The interventions include providing comfort measures, instructing deep breathing exercises, encouraging early ambulation, and teaching relaxation techniques to divert attention from pain. The evaluation shows the patient was able to understand ways to manage pain and perform the deep breathing exercise.
The nursing care plan is for 18-year-old Rechelle Rivera, who is experiencing acute pain after a cesarean birth. The plan includes the nursing diagnosis of acute pain related to surgical incision, with goals of alleviating the patient's pain within 1 hour. The interventions include providing comfort measures, instructing deep breathing exercises, encouraging early ambulation, and teaching relaxation techniques to divert attention from pain. The evaluation shows the patient was able to understand ways to manage pain and perform the deep breathing exercise.
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The nursing care plan is for 18-year-old Rechelle Rivera, who is experiencing acute pain after a cesarean birth. The plan includes the nursing diagnosis of acute pain related to surgical incision, with goals of alleviating the patient's pain within 1 hour. The interventions include providing comfort measures, instructing deep breathing exercises, encouraging early ambulation, and teaching relaxation techniques to divert attention from pain. The evaluation shows the patient was able to understand ways to manage pain and perform the deep breathing exercise.
Copyright:
Attribution Non-Commercial (BY-NC)
Verfügbare Formate
Als DOC, PDF, TXT herunterladen oder online auf Scribd lesen
Nursing Diagnosis Goals and Objectives Nursing Intervention Rationale Evaluation
Acute pain related to Goal:
surgical incision due After 1 hour of Nursing to cesarean birth Interventions the patient will be able to Subjective: alleviate pain.
“ Masakit yung Objectives:
tahi ko sobra.” “Di ako 1. After 5 minutes Provide Comfort To alleviate pain The client was able to makagalaw ng of discussion, Measures such by promoting enumerate ways on how maayos dahil sa the client will be as repositioning non- to alleviate pain. tahi ko, bawat able to or quiet pharmacological galaw ko enumerate ways environment. pain kumikirot on how to management. siya.” alleviate pain. Instruct patient To reduce pain Madalas akong to us supportive especially when irritable, hindi materials such moving ko alam kung as binder bakit, siguro dahil sa tahi 2. After 10 minutes Encourage early Relaxes The client was able to ko.” of discussion, ambulation, use muscles, and share different kinds of the client will be of rocking chair, redirects exercises to promote able to share wellness. different kinds or left side-lying attention away Objective: of exercises to position as from painful promote appropriate. sensation. Facial Grimace wellness. with pain scale of 8 (10 is the 3. After 10 minutes The client was able to highest) of Encourage Deep breathing performed deep Protective demonstration, patient to do enhances breathing exercise. gesture to avoid the client will be Deep Breathing respiratory pain incision able to perform Exercise by effort. It site deep breathing demonstrating promotes Expressive exercise. how to do healing of behavior such it(every 4 hour surgical wounds. as sighing and daily with 5-10 breaths during moaning. exercise. Teary eye Limited 4. After 5 minutes The client was able to of discussion, Instruct the know the different movement To distract the client will be patient to use activities on how to Irritated and attention and able to know the relaxation divert her attention to sensitive to reduce tension. different techniques and lessen pain. touch encourage activities on how to divert diversional her attention to activity such as lessen pain. listening to music, watching television and socialization with others.
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